NPIMap

Organization Active NPI

Grace C Mae Advocate Center

  • Counselor
  • Cedar Rapids, IA
National Provider Identifier
1851725592
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
GRACE C MAE ADVOCATE CENTER
Practice address
260 33Rd Ave SW Ste J
Cedar Rapids, IA 52404-4646
Phone
(319) 361-6529
Fax
(319) 343-1059
NPI assigned
Aug 29, 2013
Last updated
Dec 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patricia Carolyn Gilbaugh, PH.D.
Title
Executive Director
Phone
(319) 361-6529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

260 33Rd Ave SW Ste J
Cedar Rapids, IA 52404-4646

Mailing address

260 33Rd Ave SW Ste J
Cedar Rapids, IA 52404-4646
Phone (319) 361-6529

Other identifiers 1

IdentifierTypeStateIssuer
0101342MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Grace C Mae Advocate Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3113 1st Ave SW
Cedar Rapids, IA 52405
Phone (319) 530-2157

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1851725592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 33RD AVE SW STE J",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524044646",
            "telephone_number": "319-361-6529",
            "fax_number": "319-343-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 33RD AVE SW STE J",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524044646",
            "telephone_number": "319-361-6529",
            "fax_number": "319-343-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE C MAE ADVOCATE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "GILBAUGH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "CAROLYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-361-6529",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101342",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.